# COPPER STATE HOME HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Copper State Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972999100
- **Authorized official:** MELLISA MARIE TAYLOR RN (DON ADMINISTRATOR)
- **Authorized official phone:** (928) 200-9708

## Contact information

- **Practice address:** 996 N BROAD ST STE 7, GLOBE, AZ 85501-2300
- **Practice address phone:** (928) 200-9708
- **Practice address fax:** (602) 926-2423
- **Mailing address:** 996 N BROAD ST STE 7, GLOBE, AZ 85501-2300
- **Mailing address phone:** (928) 200-9708
- **Mailing address fax:** (602) 926-2423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | AZ | Yes |

## Other

- **Enumeration date:** 04/14/2015
- **Last updated:** 07/21/2022